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Plans for same day emergency care are stalling from lack of investment, leaders warn

BMJ 2021; 375 doi: https://doi.org/10.1136/bmj.n2931 (Published 26 November 2021) Cite this as: BMJ 2021;375:n2931
  1. Elisabeth Mahase
  1. The BMJ

An NHS England scheme to provide urgent care to patients without admitting them to hospital is stalling because of inappropriate use and a lack of investment, the Society for Acute Medicine (SAM) has warned.

NHS England announced in March 2019 that every major hospital would provide same day emergency care (SDEC)—also known as ambulatory emergency care—by the end of that year to prevent around half a million unnecessary overnight stays in 2020. But an audit by SAM has found the units are often being inappropriately used as overflow for admitted patients.1

The Society for Acute Medicine benchmarking audit (SAMBA) took place …

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